The effects of rational emotive behavior therapy and motivational interviewing on emotions,automatic thoughts,and perceived performance of elite female volleyball players

ObjectivesThe aim of this study was to examine the effect of Rational Emotive Behavior Therapy intervention alone (REBT-A) or with motivational interviewing (REBT + MI) on the emotions, automatic thoughts, and perceived performance of elite female volleyball players.Designand method: Single-case, staggered multiple-baseline AB and ABC designs were adapted in the study. Five female volleyball players participated in the study, of which three players participated in the REBT-A and two players participated in the REBT + MI. The athletes were competing in the national volleyball league (M_age = 28, SD = 5.52). All participants were elite athletes with at least ten years of sports experience. Three scores (T1, T2, T3) were calculated for the athletes' perceived performance, emotion, and automatic thoughts. T1 was the baseline score calculated before the sessions. T2 was calculated after the first two sessions (the first three sessions for REBT + MI) and T3 was calculated after the last three sessions. In the data analysis, percentage changes, effect size, and visual analyzes were used in the T1, T2, and T3 scores.ResultsREBT-A and REBT + MI interventions increased perceived performance, positive emotions, and positive automatic thoughts, and decreased negative emotions and negative automatic thoughts. REBT + MI was more advantageous than REBT-A in increasing positive emotion, positive automatic thought, and perceived performance.ConclusionsAs a result, REBT alone or with motivational interviewing has a positive effect on perceived performance, emotions, and automatic thoughts, but REBT + MI has greater potential to increase positive constructs.     

A Randomized Controlled Pilot Study of Motivational Interviewing to Change Attitudes about Adherence to Medications for Asthma

The day-to-day management of asthma relies on patient self-care practices; in particular, adherent use of asthma medications is fundamental for asthma management. However, most persons with asthma do not use their medications to clinically acceptable standards. The purpose of this study was to test the efficacy of a brief educational intervention to enhance knowledge and skills relevant to asthma self-care, and the efficacy of motivational interviewing to improve attitudes toward taking medications as prescribed. Twenty-five adults with asthma were randomly assigned to receive a brief educational intervention alone, or education plus motivational interviewing. Over time, all participants improved their knowledge of asthma and skills using a metered dose inhaler. Participants who received education alone showed a decreased level of readiness to adhere with their medications over time, whereas participants who received motivational interviewing were more likely to show a stable or increased level of readiness to adhere over time. Among participants who described themselves as not consistently adhering with their medications at the first evaluation, those who received motivational interviewing endorsed more positive attitudes toward taking medications over time. The results are supportive of the utility of motivational interviewing in enhancing participants' attitudes toward adherent medication use. Future research should test if attitude change is reflected in change in medication use.     

Cognitive testing of an instrument to evaluate acceptability and use of pre-exposure prophylaxis products among women

Given the range of pre-exposure prophylaxis (PrEP) products currently being tested to prevent HIV in women, a standardized Acceptability and Use of PrEP Products Among Women Tool may facilitate comparisons of product acceptability and use across different geographies, trials, and users. We conducted three rounds of cognitive interviewing over 2 months in 2016, with 28 South African women who had experience participating in a range of PrEP product trials. The final instrument contained 41 items, including five new items that improved construct validity and 22 items modified for clarity. Changes were made due to unclear wording, difficulty answering, participant embarrassment, low response variability, and administrative formatting. Cognitive interviewing provided a means to address issues that would have inhibited this tool's ability to accurately collect data otherwise. This rapid, low-cost study provided valuable insight into participants' understanding of questions and demonstrated the utility of cognitive interviewing in international clinical trials.     

Les effets de la motivation sur la performance sportive au regard de la théorie de l’autodétermination : vers une approche intra-individuelle

The main purpose of the present article is to review studies in the self-determination framework (Deci & Ryan, 1985, 2008) examining the effects of athletes’ motivation on sport performance. This work consists of three different sections. First, we detail the main postulates of self-determination theory. Second, we present results of recent studies examining the influence of motivation on performance by shedding light on research with a person-centered approach at different levels of generality (Vallerand, 1997). Finally, future research directions and practical implications are proposed to enhance athletes’ sport performance. We suggest that athletes’ autonomous motivation should be increased to attain success in sport.     

Motivational interviewing and self-determination theory in a web-based computer tailored physical activity intervention: A randomized controlled trial

Objective: This study explores whether a web-based physical activity (PA) intervention grounded in self-determination theory (SDT) and motivational interviewing (MI) is more effective and better appreciated than a traditional web-based PA intervention.

Design: A randomized controlled trial was conducted, comparing (1) I Move; a web-based PA intervention based on SDT and MI, (2) Active Plus; a traditional web-based PA intervention and (3) a waiting list control condition.

Main outcome measures: Weekly minutes of moderate to vigorous PA and weekly days with ≥30 min PA were measured through self-report at baseline and at 3 and 6 months from baseline.

Results: I Move achieved a small, but significant increase in weekly minutes of moderate to vigorous PA, while Active Plus did not have a significant impact on this outcome. Both interventions were effective in increasing weekly days with ≥30 min PA, whereas Active Plus yielded a greater effect on this outcome.

Conclusion: Overall, the web-based PA intervention grounded in SDT and MI did not outperform the traditional web-based PA intervention. Further research should reveal whether this type of intervention is profitable for long-term maintenance of PA levels.     

Swedish youth football players’ attitudes towards moral decision in sport as predicted by the parent-initiated motivational climate

ObjectivesThe purpose of this study was to examine associations between late adolescent football players’ perceptions of the motivational climate – as initiated by mothers and fathers – and attitudes towards moral decision making in sports.DesignCross-sectional.MethodsParticipants were 213 Swedish football players (144 males, 67 females) aged 16–19 years who completed measures assessing perceived parent-initiated motivational climate (i.e., success-without-effort climate [SWEC]; worry conducive climate [WCC]; and learning/enjoyment climate [LEC]) and attitudes towards moral decision-making in sport (i.e., acceptance of cheating [AOC]; acceptance of gamesmanship [AOG] and keeping winning in proportion [KWIP]).ResultsCanonical correlations demonstrated moderate positive relations between parent-initiated − both mother and father − performance climates (WCC and SWEC) and AOC and AOG. Moreover, the relationship between mother and father-initiated learning/enjoyment climate (LEC) were shown to be moderately and positively associated with the prosocial attitude dimension of KWIP. Results also showed that a mother-initiated LEC and a mother-initiated SWEC were stronger predictors of the criterion variables (AOC, AOG, and KWIP) than equivalent father-initiated climate dimensions.ConclusionsThe results highlight the importance of considering the relationship between parent-initiated climates − especially initiated by mothers − and the development of moral decision-making among youth football players.     

Examining the relationship between athletes' achievement goal orientation and ability to employ imagery

ObjectiveImagery ability may be cognitively regulated by motivational states, thus it is important to determine the relationship between goal orientations and imagery ability. Design/Method: Participants were 272 male and female athletes, representing nine sports. Goal orientations and cognitive and motivational imagery abilities were assessed via questionnaires. Task and ego goal orientations were examined via a two-step cluster analysis procedure, resulting in the identification of four goal orientation clusters. Separate multivariate analyses were conducted to assess differences in cognitive imagery ability and motivational imagery ability for the clusters, with gender and sport type entered as covariates. Results: For cognitive imagery ability, gender had a significant effect for athletes with low task/low ego orientation; female athletes rated their internal imagery perspective as clearer and more vivid. Regarding motivational imagery ability, when sport type was controlled for, cluster membership demonstrated a significant multivariate effect. Goal orientations have a relationship with motivational imagery ability but this same relationship was not evident with cognitive imagery ability. Athletes with high task/high ego or high task/low ego goal orientations scored significantly higher on their ability to feel emotions and their ease of generating motivational general-mastery images compared to athletes with low task/high ego or low task/low ego orientations. No differences between goal orientation clusters were found for motivational general-arousal imagery ability. Conclusion: Athletes who have a high task orientation are very motivated and have an easy time forming mastery images and a high ability to experience the emotion of these images.     

Integrating motivational interviewing in career counseling: A case study

Motivational interviewing (MI) is receiving increasing attention in the field of career counseling. However, none of the previous studies have concretely presented how this method could and why it should be integrated in career counseling. Through the use of a single case study design, this paper illustrates how a brief MI (BMI) intervention can be integrated into career counseling interventions to help resolve career dilemmas. An analysis of the interactions between the client and his counselor using the Motivational Interviewing Skills Code 2.1 illustrates why this method can be useful for career counseling. Immediate and long-term effects of the global career counseling intervention on the client's career decision-making difficulties, as well as the specific impacts of the BMI intervention, are assessed. This case study shows that the BMI approach can be integrated in a career counseling intervention to help career counseling clients overcome career dilemmas and increase their readiness to make career choices.     

Career counseling meets motivational interviewing: A sequential analysis of dynamic counselor–client interactions

Motivational Interviewing (MI) is a client-centered communication style with the aim to resolve client ambivalence within a change-related counseling. Its potential benefit for career counseling has been discussed by several scholars but no empirical research has investigated MI in this context so far. The current study used process measures from MI to investigate dynamic interactions within a career counseling intervention. Overall, we analyzed two videotaped sessions of 14 unique counselor–client dyads. Verbal behavior of counselors and clients were coded with two observational coding schemes from MI (one for counselors and one for clients, respectively). Behavior profiles of counselors were compared with benchmarks of good MI. Furthermore, client verbal ambivalence was compared between sessions. Finally, we conducted lag sequential analyses to analyze temporal dynamics between counselor behavior and immediate client verbal responses across N = 6883 behavioral events. Our results showed, first, behavior profiles of career counselors did significantly differ from recommended counseling benchmarks of good MI practice. Second, as assumed on the basis of past studies, client ambivalence decreased across sessions. Third, MI consistent counselor behaviors showed a positive sequential association with client positive career talk, whereas MI inconsistent counselor behaviors showed the reverse pattern. Our results suggest that counseling behaviors recommended from MI are facilitating career interventions. We discuss how trainings in MI could amend career counseling interventions and provide ethical implications when integrating MI into career counseling programs.     

Training Young Adult Peers in a Mobile Motivational Interviewing‐Based Mentoring Approach to Upstream HIV Prevention

Mentoring relationships are characterized by a sustained, high quality, and skill‐building relationship between a protégé and mentor (Handbook of Youth Mentoring, Los Angeles, SAGE, 2014). Within prevention science, youth mentoring programs emphasize creating a specific context that benefits a young person. Program‐sponsored relationships between youth and adults allow for creating a mentor–mentee partnership, but do not require the establishment of a strong bond in order to deliver prevention‐focused activities and experiences (Handbook of Youth Mentoring, Los Angeles, SAGE, 2014). Motivational Interviewing (MI) is a counseling style used widely to promote health behavior change and in prevention interventions. As part of an upstream approach to HIV prevention, we combined mentoring and MI by training peer mentors to use MI skills in their interactions as part of a large RCT of a mobile life skills intervention for adolescent men who have sex with men (AMSM). Our training model developed for training peer mentors in MI skills resulted in peers reaching and exceeding established MI fidelity thresholds (e.g., mean percentage of complex reflections = 80%, mean reflection to question ratio = 2.2:1). We offer reflections on lessons learned and future directions for those researchers and practitioners who may benefit from adapting this blended approach for mentoring AMSM.